Presentation
Sudden onset headache, ataxia, vertigo and difficulty in swallowing.
Patient Data
Age: 30 years
Gender: Male
From the case:
Lateral medullary syndrome
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Hypodensity is seen in the left lateral medulla oblongata suggestive of acute ischaemic infarction.
From the case:
Lateral medullary syndrome
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Small area of restricted diffusion in the left lateral medulla showing T2 and FLAIR hyperintense signals representing acute ischaemic infarction.
Case Discussion
Lateral medullary syndrome, also called Wallenberg syndrome, is caused by an acute ischaemic infarction of the lateral medulla oblongata most commonly due to the occlusion of the vertebral artery (intracranial part) followed by posterior inferior cerebellar artery (PICA) and its branches.
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